Key result
Conservative management of an asymptomatic acute pacemaker lead perforation was successful, with the patient remaining asymptomatic with excellent lead parameters and no pericardial effusion at 12 months.
Why the study?
Acute complications of pacemaker implantation like myocardial perforation usually require reintervention, raising the question of whether conservative management can avoid a redo procedure.
Case Report (n=1)
No
Conservative management with watchful monitoring of asymptomatic acute lead perforation of a permanent pacemaker is a feasible option in selected patients with good lead parameters and without significant effusion.
May support conservative management in select asymptomatic cases; leaves open need for prospective data.
Acute complications of pacemaker implantation such as lead dislodgement, pneumothorax, and myocardial perforation are not uncommon. Management of these usually requires reintervention. We herein describe lead perforation after a single chamber pacemaker implantation, which was successfully managed conservatively. This case underscores that vigilant monitoring post lead perforation can avoid a redo procedure.
No takes yet. Share an insight, caveat, or question.
Gupta et al. (2021) conducted a case report in Acute asymptomatic lead perforation of a permanent cardiac pacemaker (n=1). Conservative management (watchful monitoring) was evaluated on Clinical outcome (symptoms, lead parameters, pericardial effusion). Conservative management of an asymptomatic acute pacemaker lead perforation was successful, with the patient remaining asymptomatic with excellent lead parameters and no pericardial effusion at 12 months.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: